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Volume 22, Issue 2
Displaying 1-10 of 10 articles from this issue
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...2002 Volume 22 Issue 2 Pages 61-65
Published: March 15, 2002
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...2002 Volume 22 Issue 2 Pages 66-71
Published: March 15, 2002
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...2002 Volume 22 Issue 2 Pages 72-75
Published: March 15, 2002
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...2002 Volume 22 Issue 2 Pages 76-79
Published: March 15, 2002
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese]2002 Volume 22 Issue 2 Pages 80-83
Published: March 15, 2002
Released on J-STAGE: December 11, 2008
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Masato IWATA, Kazuyoshi NAKAHASHI, Yasunori MATSUNARI, Masahiro TAKAHA ...2002 Volume 22 Issue 2 Pages 84-90
Published: March 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSUnpleasant experiences during and after anesthesia and/or surgery were retrospectively assessed in 4, 710 consecutive patients. The patients were directly interviewed at the post-anesthetic clinic. Unpleasant experiences occurred in 44.3% of the patients, and more frequently in women than in men. Most of the unpleasant experiences were post-operative pain (8.6%), nausea and vomiting (5.4%), and urethral catheterization (3.4%). Anesthesiologists should understand the characteristics of pen-and post-operative unpleasant experiences, preoperatively inform the patients of them and actively control them if they occur.View full abstractDownload PDF (832K) -
A Prospective StudyYuzo HARADA, Akiyoshi NAMIKI, Naoya YAMAMOTO, Tomoko SAITOH, Taeko KIK ...2002 Volume 22 Issue 2 Pages 91-96
Published: March 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSThis study was designed to determine the cause of postoperative skin injuries. Three hundred and eighty-four surgical patients were investigated prospectively. Burn-like redness, blisters or ulcers over the sacrum, buttocks or heel developed on the first or second postoperative day in 6 patients. In 337 cases, we observed and recorded the state of the sacrum and buttocks at 3 time points: immediately before the induction of anesthesia, immediately after the end of operation, and on the morning of the first postoperative day. Observation records demonstrated that the lesions developed were pressure sores and not burn injuries, because the skin was observed to be intact when the operation was completed. Skin redness appeared during operation in 59 out of 337 cases, and after operation in 18 cases. All 6 patients who had pressure sores were not included in 59 cases, but 5 patients were in 18 cases. These results indicate that the development of pressure sores might be linked with poor postoperative management rather than intraoperative management.View full abstractDownload PDF (763K) -
Detected by the Indocyanine Green Clearance MethodMasahiko TSUCHIYA, Nobuyuki MATSUMOTO, Satoshi MIZUKAMI, Isao MATSUMOT ...2002 Volume 22 Issue 2 Pages 97-101
Published: March 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe investigated the effect of lumbar epidural anesthesia on the hepatic blood flow during sevoflurane or propofol anesthesia by detecting the indocyanine green clearance rate (KICG). Thirty-two patients (n=8 in each group) scheduled for arthroscopic knee surgery were chosen and they received anesthesia consisting of 1) N2O-O2-1.7% sevoflurane (S-group), 2) N2O-O2-1.7% sevoflurane with an intravenous administration of 0.05 μg•kg-1 •min-1 of prostaglandin E1 (SP-group), 3) N2O-O2-1.0% sevoflurane and lumbar epidural anesthesia with an infusion rate of 0.1ml•kg-1•h-1 of 1.5% lidocaine (SE-group), and 4) N2O-O2-5mg•kg-1•h-1 of propofol (PE-group) with the same rate of epidural lidocaine as the SE-group. KICG and cardiac output (CO) were measured before and during anesthesia. The results were as follows: 1) KICG decreased in the SE-and PE-groups; 2) CO also decreased in both groups; 3) in the SP-group, KICG and CO were significantly higher than those in the SE- and PE-groups. The present study indicates that lumbar epidural anesthesia combined with general anesthesia seriously, depresses CO and estimated hepatic blood flow whereas administration of PGE1 during anesthesia could produce a protective effect on hepatic circulation by maintaining CO.View full abstractDownload PDF (727K) -
Taro TAKESHIMA, Masako MAYUMI, Yoshito SHIRAISHI, Tomohiro UCHIYAMA, N ...2002 Volume 22 Issue 2 Pages 102-105
Published: March 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSA 50-year-old male underwent pancreatduodenectomy under general anesthesia without any problems. When he stood up from his bed on the third postoperative day, he lost consciousness and went into cardiac arrest suddenly. His heart beat recovered after resuscitation in the intensive care unit, but he was left with left hemiplegia. Pulmonary embolism was neglected by pulmonary blood flow scintigraphy. Cerebral angiography showed dural arteriovenous fistulae (DAVF) from the bilatered ophthalmic arteries to the right extradural vein and the occulusion at the sinus sagittalis superior, and a CT scan showed swelling of the right frontal lobe. In conclusion, it is better to pay attention to DAVF and sinus occlusion as a cerebrovascular complication after surgery.View full abstractDownload PDF (1440K) -
Takanao MIYAZAKI, Yoshiaki NAGUSA, Yoshitoyo MIYAUCHI2002 Volume 22 Issue 2 Pages 106-109
Published: March 15, 2002
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe investigated mediastinal emphysema following retroperitoneal surgery assisted by videoscopy for 12 patients. Anesthesia was induced with thiamylal and vecuronium, and maintained with fentanyl and a mixture of 02-N2O and isoflurane. The patient was placed in the lateral position. Retroperitoneal spaces were insufflated with carbon dioxide using a target insufflation pressure of 10 cmH2O. Four patients showed mediastinal emphysema on the chest radiograph and three of them exhibited cervical subcutaneous emphysema. Patients' respiratory and circulatory status were stable. Mediastinal emphysema and cervical subcutaneous emphysema also might be caused by diffusion of insufflated gas through presumed weak points or congenital defects in the diaphragm. The existence of cervical subcutaneous emphysema suggests that mediastinal emphysema is in process. In addition to the intraoperative management, it is necessary to take a chest radiograph following retroperitoneal surgery.View full abstractDownload PDF (1622K)
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